The City Survey by Radical Edge Solutions
1 · Who you are
2 · Your city
What the software does, roughly how old it is, and who uses it. A few sentences is plenty.
The nine diseases, one line each. Tick any that sound like your city. Nothing here is a wrong answer.
3 · What you’re after
This form asks only what scoping a survey needs. No tracking, no mailing list, no third parties.